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ResponsibilitiesThe Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments.Job Title: Case Manager Concurrent Review - KCA Utilization MgmtClinic Location: Pearland Administrative OfficeDepartment: KCA Utilization ManagementJob Type: Full TimeSalary Range: $90,932 - $112,318 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)QualificationsEducationRequired: Registered Nurse, ADN or master’s degree in Social WorkPreferred: Certification in area of specialization, BSNACP certificationExperienceRequired: Five years nursing experience or three years’ experience in medical social work with an emphasis in case management of high risk patient populationPreferred: Proven program development skillsLicense(s)Required: TX RN license or TX LCSW license, valid Texas Driver’s licensePreferred: Case Management CertificationSpecial SkillsRequired: Proven communication and problem-solving skills; Computer literatePreferred: At least 2 years in area of specialization, 2 years of Case Management/Utilization Review experienceOtherRequired: Managed Care knowledgePreferred: N/AWorking Environment: OfficeAbout UsStart your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.Why Kelsey-Seybold Clinic?
Medical, Vision, and Dental
Tuition Reimbursement
Company Matching 401K
Employee Reward and Recognition Program
Paid time off for vacation, sick, and holidays
Employee Assistance Program
Continuing Medical Education allowance
Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.
